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Protection of Your Personal Information

Orange County Government recognizes and appreciates the importance of responsible use of information collected on this site.

Information may be saved for a designated period of time in order to comply with the State of Florida's archiving policies.

Additionally, some information may be disclosed to third parties or other government agencies, as required by state or federal law.

Read Orange County's full Privacy Policy and Terms of Use.

Smoke Detector

Request Form

Dear Resident:

The Orange County Fire Rescue Public Education Bureau has initiated an aggressive Smoke Detector Program in your community. In order to obtain a smoke detector we ask that you meet the following criteria:

1. Live in Orange County.
2. Be willing to let the Fire Department install the smoke detector.
3. Currently do not have a smoke detector in your home.

If you qualify, please complete this form. The red asterisk indicates it is a required field.

Personal Information

Name*

Street Address*

City*

State

Zip Code*

Best Contact Phone*

Number of children under the age of 10 living in your home

Number of disabled persons living in your home

Best Time to Call & Schedule an Appointment

Security Code*